Foreside Behavior Associates - Medicare Mental Health Clinic in Portland, ME

Foreside Behavior Associates is a medicare enrolled mental health clinic (Psychologist - Clinical) in Portland, Maine. The current practice location for Foreside Behavior Associates is 1321 Washington Ave Ste 302, Portland, Maine. For appointments, you can reach them via phone at (207) 613-7324. The mailing address for Foreside Behavior Associates is 1321 Washington Ave Ste 302, Portland, Maine and phone number is (207) 613-7324.

Foreside Behavior Associates is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982076485. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 613-7324.

Contact Information

Foreside Behavior Associates
1321 Washington Ave Ste 302
Portland
ME 04103-3675
(207) 613-7324
(207) 613-7333

Mental Health Clinic Profile

Full NameForeside Behavior Associates
SpecialityPsychologist
Location1321 Washington Ave Ste 302, Portland, Maine
Authorized Official Name and PositionSusan Jarmuz-smith (CLINICAL DIRECTOR)
Authorized Official Contact2076137324
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Foreside Behavior Associates
1321 Washington Ave Ste 302
Portland
ME 04103-3675

Ph: (207) 613-7324
Foreside Behavior Associates
1321 Washington Ave Ste 302
Portland
ME 04103-3675

Ph: (207) 613-7324

NPI Details:

NPI Number1982076485
Provider Enumeration Date10/22/2015
Last Update Date11/23/2022
Certification Date11/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0941581664
Medicare Enrollment IDO20170206000593

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Medical Identifiers

Medical identifiers for Foreside Behavior Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982076485NPI-NPPES
1164824082OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Foreside Behavior Associates acts as a billing entity for following providers:
Provider NameSusan Lynn Jarmuz-smith
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164824082
PECOS PAC ID: 3678854395
Enrollment ID: I20170206000720

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